NPIMap

Richard Besdine, MD

Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Riverside, RI

NPI 1285671990 · NPPES record last updated Jul 27, 2016

Key facts

NPI
1285671990
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
License
MD10443 (RI)
Practice address
375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212
Phone
(401) 649-4010
Fax
(401) 649-4011
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10443RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD10443 RI Yes

Addresses

Primary practice location

375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212

Mailing address

17 Virginia Ave
Suite 107
Providence, RI 02905-4406

Other identifiers

IdentifierTypeStateIssuer
380001919OtherRIRAILROAD MEDICARE
9022316MedicaidRI

Other providers in Riverside, RI

All providers in Riverside, RI · Geriatric Medicine (Internal Medicine) Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.